Adriana Lourdes Cango-Apol, Edison John Barba Pacheco
The usefulness of selective embolization of thyroid arteries in the treatment of voluminous goiters is reported on a 55-year-old patient with a grade 3 goiter. Selective arteriography was used to embolize the thyroid arteries. Radiological embolization reduced the volume of the goiter significantly, resolving the compressive symptoms, improving the dysphonia and respiratory mechanics, and maintaining normal thyroid function. Selective embolization of thyroid arteries before thyroid resection can successfully treat selected patients. Embolization can be repeated until the therapeutic objectives are achieved, with good management of complications.
{"title":"Overcoming bleeding: arterial embolization as an aid in giant thyroid goiter surgery a case report","authors":"Adriana Lourdes Cango-Apol, Edison John Barba Pacheco","doi":"10.4322/ahns.2023.0004","DOIUrl":"https://doi.org/10.4322/ahns.2023.0004","url":null,"abstract":"The usefulness of selective embolization of thyroid arteries in the treatment of voluminous goiters is reported on a 55-year-old patient with a grade 3 goiter. Selective arteriography was used to embolize the thyroid arteries. Radiological embolization reduced the volume of the goiter significantly, resolving the compressive symptoms, improving the dysphonia and respiratory mechanics, and maintaining normal thyroid function. Selective embolization of thyroid arteries before thyroid resection can successfully treat selected patients. Embolization can be repeated until the therapeutic objectives are achieved, with good management of complications.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"292 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79495755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.24983/scitemed.aohns.2023.00169
I. Singh, Raman Sharma, Sakshi Negi, A. Gopal, P. Bhandari, V. Mallya, S. Arora
{"title":"Biphenotypic Spindle Cell Sarcoma: First Report of an Ectopic Occurrence in the Parapharyngeal Space","authors":"I. Singh, Raman Sharma, Sakshi Negi, A. Gopal, P. Bhandari, V. Mallya, S. Arora","doi":"10.24983/scitemed.aohns.2023.00169","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2023.00169","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77689244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leandro Luongo Matos, Marco Aurélio Vamondes Kulcsar
{"title":"Training of head and neck surgeons in Brazil: biannual evaluation by the Brazilian Society of Head and Neck Surgery","authors":"Leandro Luongo Matos, Marco Aurélio Vamondes Kulcsar","doi":"10.4322/ahns.2023.0008","DOIUrl":"https://doi.org/10.4322/ahns.2023.0008","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135008435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Rodrigues, Aline Vieira de Lucena, Gabriela Alves Domingues, Caroline Marques DE Aquino, Deborah Yukiko Otto, L. Kowalski, A. B. Santos
{"title":"Metastatic basal cell carcinoma: case series and literature review","authors":"M. Rodrigues, Aline Vieira de Lucena, Gabriela Alves Domingues, Caroline Marques DE Aquino, Deborah Yukiko Otto, L. Kowalski, A. B. Santos","doi":"10.4322/ahns.2023.0001","DOIUrl":"https://doi.org/10.4322/ahns.2023.0001","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80937900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.24983/scitemed.aohns.2023.00171
C. Kuo
{"title":"Conferencing and Presentation Strategies for Young Academics in the Global Landscape","authors":"C. Kuo","doi":"10.24983/scitemed.aohns.2023.00171","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2023.00171","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86296738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing communication for older patients with impaired hearing through environmental design","authors":"R. Hull","doi":"10.33425/2831-6312.1001","DOIUrl":"https://doi.org/10.33425/2831-6312.1001","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80843889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Qiang,, Carrie Betel, K. Hack, Z. Ghorab, J. Gilmour, M. Mohammadi, K. Burton, K. Higgins, I. Halperin
Introduction: The goal of this study was to compare the performance characteristics of the American College of Radiology Thyroid Imaging Reporting and Data System (ACR-TIRADS) and the American Thyroid Association (ATA) systems in identifying malignant thyroid nodules. Methods: In a retrospective chart review, ultrasound images of all thyroid nodules biopsied in 2014- 2015 at a Canadian academic centre were reviewed by two radiologists. The ultrasound characteristics of thyroid nodules were compared with cytologic or pathologic results to determine the positive predictive value (PPV), negative predictive value (NPV), sensitivity and specificity for TIRADS and ATA in predicting cancer risk. Clinical course of nodules not requiring follow up or intervention according to ACR-TIRADS was described. Vascularity was added to ACR-TIRADS to determine whether sensitivity of TIRADS improves. Results: A total of 417 thyroid nodules were reviewed, 82% were benign (Bethesda II). The sensitivity, specificity, PPV, and NPV were 97%, 11%, 9%, 98%, and 70%, 29%, 18%, and 81% for ATA and TIRADS, respectively. Of the 10 nodules that did not need ultrasound follow up based on TIRADS criteria, 2 were malignant, the rest were FLUS. If vascularity was added to TIRADS (TIRADS-Vasc), the number of malignant cases missed could have been reduced by 43% (from 7 to 4 cases). Conclusions: TIRADS is more specific but less sensitive than ATA, and misses a small number of malignant nodules. Clinicians need to use their judgement to decide which nodules require biopsy as some malignant cases will be missed using TIRADS alone.
{"title":"Comparison of ACR-TIRADS to the ATA Guidelines for Thyroid Nodules: A Neck to Neck Comparison","authors":"J. Qiang,, Carrie Betel, K. Hack, Z. Ghorab, J. Gilmour, M. Mohammadi, K. Burton, K. Higgins, I. Halperin","doi":"10.33425/2831-6312.1003","DOIUrl":"https://doi.org/10.33425/2831-6312.1003","url":null,"abstract":"Introduction: The goal of this study was to compare the performance characteristics of the American College of Radiology Thyroid Imaging Reporting and Data System (ACR-TIRADS) and the American Thyroid Association (ATA) systems in identifying malignant thyroid nodules. Methods: In a retrospective chart review, ultrasound images of all thyroid nodules biopsied in 2014- 2015 at a Canadian academic centre were reviewed by two radiologists. The ultrasound characteristics of thyroid nodules were compared with cytologic or pathologic results to determine the positive predictive value (PPV), negative predictive value (NPV), sensitivity and specificity for TIRADS and ATA in predicting cancer risk. Clinical course of nodules not requiring follow up or intervention according to ACR-TIRADS was described. Vascularity was added to ACR-TIRADS to determine whether sensitivity of TIRADS improves. Results: A total of 417 thyroid nodules were reviewed, 82% were benign (Bethesda II). The sensitivity, specificity, PPV, and NPV were 97%, 11%, 9%, 98%, and 70%, 29%, 18%, and 81% for ATA and TIRADS, respectively. Of the 10 nodules that did not need ultrasound follow up based on TIRADS criteria, 2 were malignant, the rest were FLUS. If vascularity was added to TIRADS (TIRADS-Vasc), the number of malignant cases missed could have been reduced by 43% (from 7 to 4 cases). Conclusions: TIRADS is more specific but less sensitive than ATA, and misses a small number of malignant nodules. Clinicians need to use their judgement to decide which nodules require biopsy as some malignant cases will be missed using TIRADS alone.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"599 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77338698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Critical Role of Reissner’s Basement Membrane in Meniere’s Disease","authors":"D. J. Pender","doi":"10.33425/2831-6312.1005","DOIUrl":"https://doi.org/10.33425/2831-6312.1005","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91394191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Rimoli, R. Hamerschmidt, Júlia Rodrigues Marcondes Dutra, Evaldo Dacheux de Macedo Filho, H. Pauna
Introduction: The vocal fold is vulnerable to several types of lesions. Immunohistochemistry is a technique aimed to complement the routine histopathological investigation, showing the presence of different antigens in the tissue or cell by means of specific antibodies, thus allowing the assessment of the potential proliferation of neoplastic cells. Objective: Detailed review of the results of vocal fold biopsies and correlation between histopathological data and clinical course among patients. Methods: A descriptive retrospective study based on the analysis of medical records of patients undergoing laryngeal microsurgery due to benign diseases (polyps and nodules), whose biopsies required additional investigation using immunohistochemistry techniques. All biopsies were carried out by the same specialist, from January 2018 to December 2019 at the Hospital Paranaense de Otorrinolaringologia. Results: Seven out of the 29 patients included in this study (26 male and 3 female patients) claimed to be tobacco users. All the 18 patients investigated for high-risk HPV scored negative in diagnostic immunohistochemistry. Three of the 19 patients with suspected laryngeal papillomatosis resulted in squamous cell carcinoma in the anatomopathological examination. Conclusion: Due to similar histopathological aspects between the different types of vocal fold lesions, there is considerable doubt regarding the gold standard in histopathological examination. To determine the difference between benign lesions of the larynx, this paper reinforce the major role of performing immunohistochemistry examinations in the diagnosis of apparently benign lesions regarding early diagnosis and treatment.
声带易受几种类型病变的影响。免疫组织化学是一种旨在补充常规组织病理学调查的技术，通过特异性抗体显示组织或细胞中不同抗原的存在，从而可以评估肿瘤细胞的潜在增殖。目的:详细回顾声带活检结果及组织病理学资料与患者临床病程的关系。方法:一项描述性回顾性研究，基于对因良性疾病(息肉和结节)而接受喉部显微手术的患者的医疗记录分析，这些患者的活检需要使用免疫组织化学技术进行额外的调查。2018年1月至2019年12月，所有活检均由同一名专家在帕拉纳医院(Hospital Paranaense de otorrinaringologia)进行。结果:本研究纳入的29例患者中有7例(26例男性和3例女性)自称是吸烟者。18例高危HPV患者诊断免疫组化均为阴性。19例疑似喉部乳头状瘤病的患者，解剖病理检查3例为鳞状细胞癌。结论:由于不同类型声带病变的组织病理特征相似，组织病理检查的金标准存在较大的疑问。为了确定喉良性病变之间的差异，本文强调免疫组化检查在早期诊断和治疗明显良性病变中的重要作用。
{"title":"Immunohistochemical Analysis of Laryngeal Lesions and Clinical-Laryngoscopic Correlation","authors":"C. Rimoli, R. Hamerschmidt, Júlia Rodrigues Marcondes Dutra, Evaldo Dacheux de Macedo Filho, H. Pauna","doi":"10.33425/2831-6312.1004","DOIUrl":"https://doi.org/10.33425/2831-6312.1004","url":null,"abstract":"Introduction: The vocal fold is vulnerable to several types of lesions. Immunohistochemistry is a technique aimed to complement the routine histopathological investigation, showing the presence of different antigens in the tissue or cell by means of specific antibodies, thus allowing the assessment of the potential proliferation of neoplastic cells. Objective: Detailed review of the results of vocal fold biopsies and correlation between histopathological data and clinical course among patients. Methods: A descriptive retrospective study based on the analysis of medical records of patients undergoing laryngeal microsurgery due to benign diseases (polyps and nodules), whose biopsies required additional investigation using immunohistochemistry techniques. All biopsies were carried out by the same specialist, from January 2018 to December 2019 at the Hospital Paranaense de Otorrinolaringologia. Results: Seven out of the 29 patients included in this study (26 male and 3 female patients) claimed to be tobacco users. All the 18 patients investigated for high-risk HPV scored negative in diagnostic immunohistochemistry. Three of the 19 patients with suspected laryngeal papillomatosis resulted in squamous cell carcinoma in the anatomopathological examination. Conclusion: Due to similar histopathological aspects between the different types of vocal fold lesions, there is considerable doubt regarding the gold standard in histopathological examination. To determine the difference between benign lesions of the larynx, this paper reinforce the major role of performing immunohistochemistry examinations in the diagnosis of apparently benign lesions regarding early diagnosis and treatment.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74233765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The actual landscape in head and neck cancer therapy","authors":"A. Rapoport, O. Curioni","doi":"10.33425/2831-6312.1002","DOIUrl":"https://doi.org/10.33425/2831-6312.1002","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78538001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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